144 The results try combined: specific research has unearthed that merged medical facilities delight in bring down any costs (or lower prices from cost boost) than just nonmerging medical facilities; anyone else are finding zero differences in costs sense ranging from merging healthcare facilities and you can otherwise similar nonmerging establishment. One current study learned that the level of discount one to consolidating healthcare facilities comprehend may vary rather with respect to the the quantity out of consolidation. Considering this study, hospitals doing work lower than one licenses 
post-merger build “high, robust, and you may persistent” coupons. 145 However, people hospitals one to conduct business significantly less than separate licences blog post-merger don’t make rates reductions. The fresh article authors attribute that it difference into the ability off a lot more totally merged hospitals to undertake ample changes in it ways it efforts (and additionally combination regarding functions) which aren’t available to healthcare facilities performing lower than separate certificates. 146
Even when a medical facility merger is likely to do cognizable efficiencies, men and women cognizable efficiencies more than likely will never be adequate to opposite an effective hospital merger’s possibility to harm consumers from the relevant field by the preventing rate grows in that field. 147